Hello , I'm 45 year old male with type 2 diabetes. Since I was diagnosed I've been keeping my blood sugar pretty good. Mornings it's around 145 and at night around 100. I've been taking 1000 mg metformin 2 X a day. I just had toes removed and had infection so was in hospital. Doctors sent me home with new prescription: keep taking metformin twice a day at 1000 mg like usual but use 10 mg of Lantus pen at 8 am every day and blood sugar check 4 times a day, use sliding scale to determine how many units of the regular needle injection.. well , my question is , why so much if my a1c at hospital was 10.2 but doc said could be from infection, why take so much insulin and will I get sick or overdose or coma?
No matter why its high, you need to keep it down. You won't be using the sliding scale if you don't need it and 10 units of lantus is a very small amount. Tight control of your blood sugar is vital when you are trying to get rid of an infection. Sugar acts like a breeding ground for bacteria so you have to keep the amount in your body down. You have to maintain that tight control once the infection is gone too, so you don't get another one. You're checking your blood sugar 4 times a day so if its low you can treat it before it would become a problem.
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